Prevalence and clinical significance of catatonic symptoms in mania.
The study investigates the prevalence, clinical characteristics, and implications of catatonic symptoms in mania. Sixty-one inpatients with DSM-III-R bipolar disorder (BD), manic or mixed episode, established by the Structured Clinical Interview for DSM-III-R (SCID) were assessed for the presence of catatonic by a 21-item rating scale. Nineteen patients fulfilled criteria for catatonic mania, exhibiting between five and 16 catatonic symptoms. Catatonic manics had more mixed episodes, more severe manic symptoms, more general psychopathology, a higher prevalence of comorbidity, a longer hospitalization, and lower Global Assessment of Functioning (GAF) scores than the noncatatonics. The results indicate that catatonic symptoms are a marker of a more severe course and outcome in mania.
Bräunig
P
P
Westfälisches Zentrum für Psychiatrie, University of Bochum, Germany.
Krüger
S
S
Shugar
G
G
D000328:Adult; D001714:Bipolar Disorder / Q000150:complications* / Q000175:diagnosis; D002389:Catatonia / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007175:Impulsive Behavior / Q000523:psychology; D008297:Male; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012720:Severity of Illness Index